The medicalization of infertility and new reproductive technologies: the case of infertile couples in Oran (Algeria)

2018 ◽  
pp. 29-41
Author(s):  
Aicha Benabed
Keyword(s):  
Reproductive Technologies ◽  
Infertile Couples

scholarly journals Depressive morbidity among female partner of infertile couple in a tertiary care setup in Bangladesh

2019 ◽  
Vol 45 (2) ◽  
pp. 93-98
Author(s):  
Tanzeem S Chowdury ◽  
T A Chowdhury ◽  
Shirin Akter Begum ◽  
Yasmin Begum ◽  
Mehriban Amatullah
Keyword(s):  
Assisted Reproductive Technologies ◽  
Tertiary Care ◽  
Severe Depression ◽  
Reproductive Technologies ◽  
Reproductive Age ◽  
Unprotected Sexual Intercourse ◽  
Female Partners ◽  
Primary Infertility ◽  
Infertile Couples ◽  
Anxiety Depression

Background: There are 80 million infertile couples in the world which correspond to approximately 15% of all couples in their reproductive age. Negative attitude and behavior of family and acquaintances causes severe psychological stress resulting in social discrimination and stigmatization which may lead to anxiety, depression and even suicide. The study was aimed to estimate the prevalence and predictors of depressive morbidity among Bangladeshi infertile women. Methods: This prospective, observational study was done on a total of 215 female partners of infertile couples who attended ‘Infertility Management Center’; a Dhaka based tertiary care setup for infertility management and assisted reproductive technologies from August - December 2016. Only those who were unable to conceive after one year of unprotected sexual intercourse and agreed to take part in the study were included in the study. Patients with history of mental illness prior to infertility diagnosis and on any anti-psychotic drugs were excluded from the study. Data collection was done using the validated Beck Depression Inventory (BDI) questionnaire. Results: Among the study population 72.6% were suffering from primary infertility and 27.4% from secondary infertility. Of them, 52.6% had 5 to 10 years and 47.4% had various duration of infertility. Female cause of infertility was in 30.7% couples, male cause was in 16.3%, both were in 4.7% and finally unknown was 48.4%. Female partners of infertile couples showed different types of mode disorders such as 29.3% (n=63) having severe depression, 39.5% moderate, 20.5% mild and 10.7% having no depression. Association between educational status and depression score showed 53.02% graduate having severe depression, though statistically it was not significant. Depression was most common among patients suffering from primary infertility and among housewives as they probably had more time to think and feel the situation. Conclusion: The high level of depression among female partners of infertile couples revealed in this study is quiet alarming and requires attention of the medical fraternity. This study proposes that clinicians should be more aware about anxiety-depression disorders among infertile groups and the necessity of identifying patients who require psychological assistance. Bangladesh Med Res Counc Bull 2019; 45: 93-96

scholarly journals Iranian infertile couples' strategies to manage social interactions after unsuccessful treatment with assisted reproductive technologies

2019 ◽  
pp. 1-12 ◽  
Author(s):  
Samira Ebrahimzadeh Zagami ◽  
Robab Latifnejad Roudsari ◽  
Roksana Janghorban ◽  
Seyed Mojtaba Mousavi Bazaz ◽  
Maliheh Amirian ◽  
...  
Keyword(s):  
Social Interactions ◽  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
Unsuccessful Treatment ◽  
Infertile Couples

O-069 A demographic revolution? Social representations confronted with statistics

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
E De La Rochebrochard
Keyword(s):  
Reproductive Technologies ◽  
Social Representation ◽  
Third Party ◽  
Success Rates ◽  
The Social ◽  
The Everyday ◽  
Clinical Statistics ◽  
The Media ◽  
Infertile Couples ◽  
Everyday Reality

Abstract Assisted reproductive technologies (ART) regularly hit the media. Most people have an idea of ART that is based only on this prism. This restrictive view may lead to major discrepancy between what the general population thinks of these treatments and the everyday reality of ART. The most striking example of this discrepancy is probably the use of third party donors (sperm, oocyte, embryo or gestational donation). In France, the media focus almost exclusively on ART with a third party donor. The personalities who relate their experience in the media or in autobiographies are all children (now adults or adolescents) who were conceived with a third-party donor. Nevertheless, 95% of children conceived by ART in France have not been conceived through a third party. The media also highlight exceptional individual stories that give rise to strong societal controversies, such as Natalie Suleman (USA) who was called “Octomom” after she gave birth to octoplets, or Maria del Carmen Bousada de Lara (Spain) and Adriana Iliescu (Romania) who gave birth at age 66, or more recently Lulu and Nana (China) who were genetically modified twin sisters. Such reports can arouse wonder or fear, but both lead to a social representation of ART as an “omnipotent” technique. Infertile couples whose knowledge of ART is based on the media coverage may venture into these treatments thinking that as their case is an “ordinary” one, there should be no problem for them in having a baby through these technologies. Clinical statistics on ART show that even if the success rate is high, there is a gap between social expectations and reality. These statistics can be misleading, as they often assume that the couple has undergone several ART cycles. The objective of clinical statistics is usually to measure the efficacy of ART from a medical viewpoint, not from the standpoint of the couples’ care pathways. The gap between the two is considerable. The pathways of couples who undertake ART are marked by pitfalls that strongly affect success rates because of the risk of treatment dropout. In some countries, economic factors are a major reason for dropout because of the high cost of ART. France is a very interesting textbook case to explore this issue, as all infertility treatments are fully reimbursed for up to six artificial inseminations and four in vitro fertilizations for each birth. Economic barriers to ART access are minimal in such a favorable national context. Nevertheless, only about half of couples treated by ART finally become parents and success rates drop dramatically in older women. This epidemiological statistical reality is difficult to reconcile with the media presentation of ART as “omnipotent”. However, “natural miracles” can also occur as spontaneous births have been observed among couples unsuccessfully treated by ART. There are also other pathways to parenthood, such as adoption of a child. Thanks to ART, every year numerous couples become parents. But for infertile couples, the everyday reality is far from the “omnipotence” acclaimed by media headlines. The social representation of ART must move toward a more balanced perception of these technologies, bearing in mind its successes and also its limitations, especially with the current demographic trend towards childbearing at a later age that may lead to an increase in demand for ART. Change in the social representation of ART will probably need to go far beyond classic public health campaigns. ART will need to be approached differently in cultural spaces such as the media but also in movies, series or novels that have a major influence on collective social imaginaries and representations.

scholarly journals Effects of Vaginal Misoprostol after Intrauterine Insemination IUI

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Zahraa H. Mohan ◽  
◽  
Nadia M. Al-Hilli ◽  
Mohammad Oda Selman ◽  
◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Assisted Reproductive Technologies ◽  
Positive Impact ◽  
Intrauterine Insemination ◽  
Reproductive Technologies ◽  
Pregnancy Rates ◽  
Control Group ◽  
Infertile Couples ◽  
Vaginal Misoprostol

Intrauterine insemination has an important role in the treatment of infertile couples. Usage of vaginal misoprostol therapy at the time of intrauterine insemination has been investigated, and its tolerability and effects on clinical pregnancy rates still questionable. To assess the effectiveness of vaginal misoprostol on some demographic characteristics and hormones level with a success rate of Intrauterine Insemination. the period of collection of patients extended from Sep. 2018 until May 2019. Eighty- one infertile couples who attended Al Nahrain University, High Institute for Diagnostic Infertility and Assisted Reproductive Technologies, and private fertility clinics were enrolled through this study. Divided into two groups, the next group received 100 μg vaginal misoprostol immediately after completion of the IUI procedure, while the control group was subjected to ordinary IUI procedure without adjunctive therapy. The mean of demographic data of body mass index, age, and duration of infertility was statistically insignificant in control, Misoprostol post- intrauterine insemination. The percentage of pregnancy rate in the control group 5.0% and it 19.5% in the Misoprostol post-intrauterine insemination group. Moreover, there are significant differences in pregnancy rates among all study groups. According to this study, there is no significant result of pregnancy occurrences correlated with, female age, male age, and body mass index, duration of infertility or type of infertility, hormone levels. Misoprostol use after intrauterine insemination has a positive impact on pregnancy outcome in the control group 5.0% and it 19.5% in Misoprostol post- intrauterine insemination group. Smaller doses (100 μg) of misoprostol can decrease side effects without affecting the outcome.

The Janus-Face of New Reproductive Technologies: Escaping the Polarized Debate

2009 ◽  
Vol 4 (1) ◽  
pp. 76-99 ◽  
Author(s):  
Heather Widdows
Keyword(s):  
Final Section ◽  
Reproductive Rights ◽  
Feminist Theology ◽  
Reproductive Technologies ◽  
Public Theology ◽  
Fault Line ◽  
Second Wave Feminism ◽  
Infertile Couples ◽  
Second Wave

AbstractReproduction is held by some to be a divine gift, and by others to be a matter of reproductive rights. The first can leave infertile couples feeling unfulfilled and ‘unblessed’ and the second can be seen as dehumanizing. Yet, despite these vastly divergent understandings, public theology has given little guidance on the use of reproductive technologies and little consideration to their effect on women in particular. This article will interrogate the fault line in feminist thinking—between those who view reproduction as a source of disempowerment and those who view it as empowering—and explore how the debate has developed with the introduction of New Reproductive Technologies (NRTs). It will track the original debate about reproduction in first and second wave feminism. Then, it will consider how this debate has changed with the advent of NRTs. The final section will turn to feminist theology and its surprising lack of contribution to this debate. It will conclude by seeking possible ways forward, identifying resources, in the original feminist debate and in feminist theology, that could usefully be brought into conversation with public theology in order to address this core feminist concern.

scholarly journals Infertile Couples' Needs after Unsuccessful Fertility Treatment: a Qualitative Study

2019 ◽  
Vol 8 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Samira Ebrahimzadeh Zagami ◽  
Robab Latifnejad Roudsari ◽  
Roksana Janghorban ◽  
Seyed Mojtaba Mousavi Bazaz ◽  
Maliheh Amirian ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Treatment Failure ◽  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
Fertility Treatment ◽  
Structured Interviews ◽  
Need For Support ◽  
Conventional Content Analysis ◽  
Infertile Couples ◽  
Infertile Patients

Introduction: Infertility is a major medical issue. Investigations and treatment of infertility are the beginning of a complex, time-consuming and stressful process for couples that may fail well. The present study explored the needs of infertile couples following treatment failure with Assisted Reproductive Technologies (ARTs). Methods: A descriptive qualitative study was conducted in an Iranian infertility center, in the Northeast of the country between April 2016 and June 2017. The researchers recruited 29 individuals including 9 couples, 9 women and two men with primary infertility through purposive sampling. The data were collected using semi-structured interviews and analyzed iteratively, using conventional content analysis with MAXQDA software. Results: The main concepts obtained from the data were classified into one theme titled: ""The need for support"" and four main categories along with their subcategories, and included the need for psychological support, the need for more useful information, the need for social support and the need to access to supplementary services. Conclusion: The findings show that following treatment failure, the infertile patients’ expressed needs and preferences were not met. Identifying and meeting their needs may help the infertile couples to deal with ARTs failure and to reach a decision about future treatment.

Silver Spoons and Golden Genes: Genetic Engineering and the Egalitarian Ethos

2007 ◽  
Vol 33 (4) ◽  
pp. 567-623 ◽  
Author(s):  
Dov Fox
Keyword(s):  
Genetic Engineering ◽  
Assisted Reproductive Technologies ◽  
Genetic Diagnosis ◽  
Reproductive Technologies ◽  
Federal Law ◽  
Health Related ◽  
Genetic Science ◽  
Infertile Couples ◽  
Egalitarian Ethos

What mother or father does not want to give his or her child the best chance of leading a happy and successful life? Infertile couples today enlist assisted reproductive technologies (ARTs) such as in vitro fertilization (IVF) and preimplantation genetic diagnosis (PGD) to handpick from among available gamete donors or embryo arrays to implant for gestation. As advances in genetic science permit increasing prenatal control over offspring traits, even fertile couples may choose to relocate procreation from the bedroom into the laboratory.The development of safe genetic therapies capable of curing debilitating conditions in embryos or fetuses would be unequivocal cause for celebration. Less straightforwardly worthy of embrace would be techniques that make it possible to choose offspring genes for non-health related characteristics, such as strength, intelligence, and memory. At present, neither state nor federal law regulates ARTs.

scholarly journals Altered microbiota in the female reproductive tract as a risk factor for failure of assisted reproductive technologies

2021 ◽  
Vol 11 (2) ◽  
pp. 365-370
Author(s):  
E A. Lebedeva ◽  
S. V. Rishchuk ◽  
T. A. Dushenkova ◽  
A. S. Mokhov ◽  
M. V. Desyatova ◽  
...  
Keyword(s):  
Reproductive System ◽  
Trichomonas Vaginalis ◽  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
Female Reproductive Tract ◽  
Immediate Early ◽  
Control Group ◽  
Quantitative Composition ◽  
Diagnostic Kits ◽  
Infertile Couples

Assisted reproductive technologies (ART) are one of the most effective ways in fighting infertility, but their effectiveness is influenced by various factors. Our study focuses on examining importance of risk factors underlying ART failure related to altered microbiome pattern in the female reproductive system. The case-control study was based on conducting a laboratory examination of 129 infertile couples applied to the Department of Assisted Reproductive Technologies due to failure of in vitro fertilization (IVF), whereas control group consisted of females with successful progressive pregnancy after ART. Chlamydia, herpes virus and cytomegalovirus were assessed by using PCR and ELISA, whereas culture method was used to detect Trichomonas vaginalis in vaginal swabs and ejaculate applying Trichomonas Modified CPLM Medium (HiMedia, India) followed by microscopy. In addition, the qualitative and quantitative composition of the vaginal biocenosis was studied with multiplex RT-PCR by using Femoflor-16 kit (DNA-technologies, Russia). Serological tests were based on measuring IgG and IgA antibodies against Chlamydia trachomatis in ELISA (diagnostic kits purchased from Vektor Best, Russia; NovaTec, Germany; ImmunoComb, Israel) as well as antibodies against immediate early HSV-1/2 proteins (BioService, Russia) and immediate early HHV-5 proteins (Vector Best, Russia). C. trachomatis and herpesvirus DNA was measured by using PCR diagnostic kits Amplisens (Interlabservice, Russia). It was found that sexually transmitted infection agents were highly prevalent in infertile couples applying to the hospital for IVF. Significant factors for non-pregnancy were vaginal dysmicrobiocenosis (OR = 7.5 (95% CI 1.04—54.1), p = 0.02) and detected T. vaginalis (OR = 2.6 (95% CI 1.12—6.4), p = 0.01). Dysbiosis of the reproductive system, including those occurring due to trichomonas infection is associated with lowered ART effectiveness. It is evident to timely detect urogenital infections and dysbiosis while preparing infertile couples for IVF cycles.

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